| NPI | 1144833286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE YVETTE WILLIAMS Owner 682-400-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |